Physician
Shaun S. Varghese, M.D., PLLC
Shaun S. Varghese, M.D., PLLC was paid $16.82M by Medicaid between Jan 2020 and Dec 2024, across 17 billing codes. Its largest line is 95715, — 62% of everything it billed.
33Billing provider infoSHAUN S. VARGHESE, M.D., PLLC
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
33aNPI1497168546assigned 06/06/2014
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$16.82M
24GClaims41,248
24DCodes billed17
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatric Neurodevelopmental Disabilities Physician providers in Texas
Rank by total paid#1 of 7
Median peer was paid$25K
This provider vs. median684×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 3,628 | $1.60M | |
| 2021 | 13,436 | $5.15M | |
| 2022 | 10,666 | $4.70M | |
| 2023 | 7,635 | $2.91M | |
| 2024incomplete | 5,883 | $2.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95715 | 62% | 6,652 | 3,658 | $10.37M | |
| 95816 | 10% | 5,536 | 5,471 | $1.72M | |
| 99245 | 6.6% | 6,491 | 6,406 | $1.11M | |
| 93268 | 5.4% | 5,664 | 3,623 | $917K | |
| 95724 | 5.0% | 3,182 | 3,167 | $846K | |
| 95700 | 4.6% | 3,701 | 3,682 | $781K | |
| 96112 | 3.1% | 4,845 | 4,775 | $516K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 3,716 | 3,608 | $303K |
| 95709 | <1% | 100 | 44 | $90K | |
| 95716 | <1% | 59 | 22 | $77K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 435 | 423 | $54K |
| 95722 | <1% | 58 | 58 | $12K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVARGHESE, SHAUN (OWNER/PRESIDENT)